Certified Medical Coder

Overview

Illinois Careis seeking a highly organized Certified Professional Coder (CPC) to join our team as. As a Coding Specialist, you will translate descriptions of medical diagnoses and procedures into codes which record health care data. This is a great opportunity for someone who thrives in a detail-oriented environment and enjoys being a key part of a collaborative team.

• Pay Range: $18.00 – $28.00/hour (Based on experience, education, and other factors)
• Medical, dental, and vision insurance (multiple plan options)
• Special wellness programs – Maven, Hinge Health, Livongo, Vitality, and Wondr
• 401(k) retirement plan with employer contributions
• Company-paid life, short-term, and long-term disability insurance
• Health Savings Account (HSA) & Flexible Spending Accounts (FSA)
• Paid time off and holidays
• Employee Assistance Program (EAP)
• Discounts through our Perks Program

• Assists office staff, physicians and other providers with coding inquiries, billing and documentation policies, procedures and regulations; interacts with physicians and other providers regarding conflicting ambiguous or non-specific medical documentation, obtaining clarification of same.
• Audits coded data to assure compliance with government and payer regulations.
• Analyzes and interprets complex patient medical records to identify and determine amount and nature of billable services in any clinical area.
• Ensures strict confidentiality of financial and medical records.
• Exports Charges from EMR into the Billing software system. Processes all claims through the billing software following documented processes to ensure claims are sent to the payers as clean claims.
• Research inquiries from providers, patients and payers about fees, reimbursements and denials.
• Attend coding conferences, workshops and in-house sessions to receive updated coding information and changes in coding and/or regulations.
• Performs all other duties as requested or required.
• Adhere to HIPAA, OSHA, and Illinois Cancer Care policies and procedures.

• High school diploma or GED.
• Certified Professional Coder Certificate Required.
• Experience related to the duties & responsibilities preferred.

SAFETY CONSIDERATIONS/TYPICAL WORKING CONDITIONS

Work is performed in an office environment and may involve frequent contact with physicians, staff, patients and the public. Workload may be large volumes at times and stressful. The Medical Coding Specialist may be exposed to communicable diseases and other conditions common to the clinical environment. Safety policies and good health practices are expected to be understood and observed.

KNOWLEDGE, SKILLS, AND ABILITIES

Knowledge of medical terminology, grammar, spelling and punctuation to type correspondence. Knowledge of the insurance industry. Skill in operating computer and photocopier. Ability to read, understand and follow oral and written instructions. Ability to sort and file materials correctly by alphabetic or numeric systems. Ability to speak clearly and concisely. Ability to establish and maintain effective working relationships with patients, employees and the public.